Clinical Trials Register

Summary
EudraCT Number:	2005-004604-36
Sponsor's Protocol Code Number:	GGCP023/05 - ML19497
National Competent Authority:	Spain - AEMPS
Clinical Trial Type:	EEA CTA
Trial Status:	Ongoing
Date on which this record was first entered in the EudraCT database:	2005-11-29
Trial results

Index
A. PROTOCOL INFORMATION
B. SPONSOR INFORMATION
C. APPLICANT IDENTIFICATION
D. IMP IDENTIFICATION
D.8 INFORMATION ON PLACEBO
E. GENERAL INFORMATION ON THE TRIAL
F. POPULATION OF TRIAL SUBJECTS
G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
P. END OF TRIAL

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A. Protocol Information

A.1

Member State Concerned

Spain - AEMPS

A.2

EudraCT number

2005-004604-36

A.3

Full title of the trial

Ensayo clínico fase II, abierto, no aleatorizado, de erlotinib (Tarceva®) como tratamiento de mantenimiento en pacientes con cáncer de pulmón no microcítico en estadio III tras tratamiento con quimioterapia y radioterapia

Open-label, non randomized, phase II trial of erlotinib (Tarceva®) as maintenance therapy in patients with NSCLC stage III following concurrent treatment of chemotherapy and radiotherapy

A.4.1

Sponsor's protocol code number

GGCP023/05 - ML19497

A.7

Trial is part of a Paediatric Investigation Plan

Information not present in EudraCT

A.8

EMA Decision number of Paediatric Investigation Plan

B. Sponsor Information
B.Sponsor: 1
B.1.1	Name of Sponsor	Grupo Gallego de Cáncer de Pulmón (GGCP)
B.1.3.4	Country	Spain
B.3.1 and B.3.2	Status of the sponsor	Non-Commercial
B.4 Source(s) of Monetary or Material Support for the clinical trial:
B.4.1	Name of organisation providing support
B.4.2	Country
B.5 Contact point designated by the sponsor for further information on the trial
B.5.1	Name of organisation
B.5.2	Functional name of contact point

D. IMP Identification
D.IMP: 1
D.1.2 and D.1.3	IMP Role	Test
D.2	Status of the IMP to be used in the clinical trial
D.2.1	IMP to be used in the trial has a marketing authorisation	Information not present in EudraCT
D.2.1.1.1	Trade name	Tarceva® (150 mg)
D.2.1.1.2	Name of the Marketing Authorisation holder	Roche Registration Limited
D.2.1.2	Country which granted the Marketing Authorisation	Spain
D.2.5	The IMP has been designated in this indication as an orphan drug in the Community	No
D.2.5.1	Orphan drug designation number
D.3 Description of the IMP
D.3.1	Product name	Erlotinib clorhidrato
D.3.2	Product code	RO50-8231/OSI-774
D.3.4	Pharmaceutical form	Film-coated tablet
D.3.4.1	Specific paediatric formulation	Information not present in EudraCT
D.3.7	Routes of administration for this IMP	Oral use
D.3.8 to D.3.10 IMP Identification Details (Active Substances)
D.3.8	INN - Proposed INN	erlotinib clorhidrato
D.3.9.1	CAS number	183319-69-9
D.3.9.2	Current sponsor code	RO50-8231/OSI-774
D.3.10	Strength
D.3.10.1	Concentration unit	mg milligram(s)
D.3.10.2	Concentration type	equal
D.3.10.3	Concentration number	150
D.3.11 The IMP contains an:
D.3.11.1	Active substance of chemical origin	Yes
D.3.11.2	Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP)	No
	The IMP is a:
D.3.11.3	Advanced Therapy IMP (ATIMP)	Information not present in EudraCT
D.3.11.3.1	Somatic cell therapy medicinal product	No
D.3.11.3.2	Gene therapy medical product	No
D.3.11.3.3	Tissue Engineered Product	Information not present in EudraCT
D.3.11.3.4	Combination ATIMP (i.e. one involving a medical device)	Information not present in EudraCT
D.3.11.3.5	Committee on Advanced therapies (CAT) has issued a classification for this product	Information not present in EudraCT
D.3.11.4	Combination product that includes a device, but does not involve an Advanced Therapy	Information not present in EudraCT
D.3.11.5	Radiopharmaceutical medicinal product	No
D.3.11.6	Immunological medicinal product (such as vaccine, allergen, immune serum)	No
D.3.11.7	Plasma derived medicinal product	Information not present in EudraCT
D.3.11.8	Extractive medicinal product	Information not present in EudraCT
D.3.11.9	Recombinant medicinal product	Information not present in EudraCT
D.3.11.10	Medicinal product containing genetically modified organisms	No
D.3.11.11	Herbal medicinal product	No
D.3.11.12	Homeopathic medicinal product	No
D.3.11.13	Another type of medicinal product	Information not present in EudraCT
D.IMP: 2
D.1.2 and D.1.3	IMP Role	Test
D.2	Status of the IMP to be used in the clinical trial
D.2.1	IMP to be used in the trial has a marketing authorisation	Information not present in EudraCT
D.2.1.1.1	Trade name	Tarceva® (100 mg)
D.2.1.1.2	Name of the Marketing Authorisation holder	Roche Registration Limited
D.2.1.2	Country which granted the Marketing Authorisation	Spain
D.2.5	The IMP has been designated in this indication as an orphan drug in the Community	No
D.2.5.1	Orphan drug designation number
D.3 Description of the IMP
D.3.1	Product name	Erlotinib clorhidrato
D.3.2	Product code	RO50-8231/OSI-774
D.3.4	Pharmaceutical form	Film-coated tablet
D.3.4.1	Specific paediatric formulation	Information not present in EudraCT
D.3.7	Routes of administration for this IMP	Oral use
D.3.8 to D.3.10 IMP Identification Details (Active Substances)
D.3.8	INN - Proposed INN	erlotinib clorhidrato
D.3.9.1	CAS number	183319-69-9
D.3.9.2	Current sponsor code	RO50-8231/OSI-774
D.3.10	Strength
D.3.10.1	Concentration unit	mg milligram(s)
D.3.10.2	Concentration type	equal
D.3.10.3	Concentration number	100
D.3.11 The IMP contains an:
D.3.11.1	Active substance of chemical origin	Yes
D.3.11.2	Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP)	No
	The IMP is a:
D.3.11.3	Advanced Therapy IMP (ATIMP)	Information not present in EudraCT
D.3.11.3.1	Somatic cell therapy medicinal product	No
D.3.11.3.2	Gene therapy medical product	No
D.3.11.3.3	Tissue Engineered Product	Information not present in EudraCT
D.3.11.3.4	Combination ATIMP (i.e. one involving a medical device)	Information not present in EudraCT
D.3.11.3.5	Committee on Advanced therapies (CAT) has issued a classification for this product	Information not present in EudraCT
D.3.11.4	Combination product that includes a device, but does not involve an Advanced Therapy	Information not present in EudraCT
D.3.11.5	Radiopharmaceutical medicinal product	No
D.3.11.6	Immunological medicinal product (such as vaccine, allergen, immune serum)	No
D.3.11.7	Plasma derived medicinal product	Information not present in EudraCT
D.3.11.8	Extractive medicinal product	Information not present in EudraCT
D.3.11.9	Recombinant medicinal product	Information not present in EudraCT
D.3.11.10	Medicinal product containing genetically modified organisms	No
D.3.11.11	Herbal medicinal product	No
D.3.11.12	Homeopathic medicinal product	No
D.3.11.13	Another type of medicinal product	Information not present in EudraCT
D.IMP: 3
D.1.2 and D.1.3	IMP Role	Test
D.2	Status of the IMP to be used in the clinical trial
D.2.1	IMP to be used in the trial has a marketing authorisation	Information not present in EudraCT
D.2.1.1.1	Trade name	Tarceva® (25 mg)
D.2.1.1.2	Name of the Marketing Authorisation holder	Roche Registration Limited
D.2.1.2	Country which granted the Marketing Authorisation	Spain
D.2.5	The IMP has been designated in this indication as an orphan drug in the Community	No
D.2.5.1	Orphan drug designation number
D.3 Description of the IMP
D.3.1	Product name	Erlotinib clorhidrato
D.3.2	Product code	RO50-8231/OSI-774
D.3.4	Pharmaceutical form	Film-coated tablet
D.3.4.1	Specific paediatric formulation	Information not present in EudraCT
D.3.7	Routes of administration for this IMP	Oral use
D.3.8 to D.3.10 IMP Identification Details (Active Substances)
D.3.8	INN - Proposed INN	erlotinib clorhidrato
D.3.9.1	CAS number	183319-69-9
D.3.9.2	Current sponsor code	RO50-8231/OSI-774
D.3.10	Strength
D.3.10.1	Concentration unit	mg milligram(s)
D.3.10.2	Concentration type	equal
D.3.10.3	Concentration number	25
D.3.11 The IMP contains an:
D.3.11.1	Active substance of chemical origin	Yes
D.3.11.2	Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP)	No
	The IMP is a:
D.3.11.3	Advanced Therapy IMP (ATIMP)	Information not present in EudraCT
D.3.11.3.1	Somatic cell therapy medicinal product	No
D.3.11.3.2	Gene therapy medical product	No
D.3.11.3.3	Tissue Engineered Product	Information not present in EudraCT
D.3.11.3.4	Combination ATIMP (i.e. one involving a medical device)	Information not present in EudraCT
D.3.11.3.5	Committee on Advanced therapies (CAT) has issued a classification for this product	Information not present in EudraCT
D.3.11.4	Combination product that includes a device, but does not involve an Advanced Therapy	Information not present in EudraCT
D.3.11.5	Radiopharmaceutical medicinal product	No
D.3.11.6	Immunological medicinal product (such as vaccine, allergen, immune serum)	No
D.3.11.7	Plasma derived medicinal product	Information not present in EudraCT
D.3.11.8	Extractive medicinal product	Information not present in EudraCT
D.3.11.9	Recombinant medicinal product	Information not present in EudraCT
D.3.11.10	Medicinal product containing genetically modified organisms	No
D.3.11.11	Herbal medicinal product	No
D.3.11.12	Homeopathic medicinal product	No
D.3.11.13	Another type of medicinal product	Information not present in EudraCT

D.8 Information on Placebo

E. General Information on the Trial

E.1 Medical condition or disease under investigation

E.1.1

Medical condition(s) being investigated

tratamiento de mantenimiento en carcinoma no microcítico de pulmón en estadio III tras tratamiento con quimioterapia y radioterapia

Maintenance therapy in NSCLC stage III following combined treatment of chemotherapy and radiotherapy

MedDRA Classification

E.1.3

Condition being studied is a rare disease

E.2 Objective of the trial

E.2.1

Main objective of the trial

Porcentaje de pacientes sin evidencia de progresión de enfermedad a los 6 meses de tratamiento con erlotinib

E.2.2

Secondary objectives of the trial

1.- Intervalo libre de progresión de enfermedad.
2.- Supervivencia global.
3.-Tasa de respuestas objetivas.
4.- Perfil de toxicidad de erlotinib (Tarceva®) en este grupo de pacientes.

E.2.3

Trial contains a sub-study

Information not present in EudraCT

E.3

Principal inclusion criteria

1. Pacientes capaces y dispuestos a otorgar el consentimiento informado por escrito antes del comienzo de los procedimientos específicos del estudio y cumplir los requisitos del protocolo.
2. Confirmación histológica o citológica de diagnóstico de carcinoma no microcítico de pulmón.
3. Carcinoma no microcítico de pulmón en estadio IIIA o IIIB (salvo T4 por derrame pleural) según los criterios de clasificación TNM, no candidatos a cirugía curativa, que hayan recibido tratamiento con quimioterapia y radioterapia con intención curativa y sin evidencia de progresión de enfermedad tras dicho tratamiento.
4. El período de tiempo transcurrido desde la finalización del tratamiento estándar con quimioterapia y radioterapia no debe ser inferior a 4 semanas, ni superior a 6 semanas.
5. Edad ≥ 18 años.
6. Estado funcional ECOG ≤ 2.
7. Adecuadas funciones hematológica, hepática y renal, definidas por los siguientes valores analíticos:
Hematología:
- Recuento de leucocitos ≥ 3 x 109/L.
- Recuento de neutrófilos ≥ 1,5 x 109/L.
-Hemoglobina ≥ 9 g/dL. Se permite el empleo de eritropoyetina, pero no la transfusión de hematíes para elevar el valor de la hemoglobina.
- Plaquetas ≥100 x 109/L.
Función hepática:
- Bilirrubina total < 1,5 veces el límite superior del rango de normalidad (LSN) empleado en el Centro.
- ALT (SGPT) y AST (SGOT) ≤ 3 x LSN.
- Fosfatasa alcalina ≤ 3 x LSN.
Función renal:
- Creatinina ≤ 1,5 mg/dL.
8. Pacientes capaces de realizar un adecuado cumplimiento terapéutico y accesibles para su correcto seguimiento.
9. Las mujeres en edad fértil deben tener una prueba de embarazo negativa (en suero u orina) dentro de los 7 días previos al inicio del tratamiento.
10. Los pacientes de ambos sexos en edad fértil (incluyendo las mujeres que hayan tenido la última menstruación hace menos de 2 años) deben utilizar un método anticonceptivo adecuado (anticonceptivos orales, dispositivo intrauterino, métodos anticonceptivos de barrera, conjuntamente con gel espermicida, o esterilización quirúrgica).
11. Posibilidad de deglución oral.
12. Ausencia de problemas de tránsito intestinal, como síndrome de malabsorción, enfermedad inflamatoria crónica intestinal u otras patologías que, a criterio del investigador, puedan alterar la absorción del medicamento.

E.4

Principal exclusion criteria

1. Diagnóstico histológico o citológico distinto a carcinoma no microcítico de pulmón.
2. Evidencia de enfermedad a distancia.
3. Cualquier proceso maligno previo con un intervalo libre de enfermedad < 5 años, con excepción del carcinoma de piel no melanoma o carcinoma de cérvix uterino resecados.
4. Enfermedades concomitantes graves que, en opinión del investigador, sean incompatibles con el estudio o cuya supervivencia estimada sea inferior a la de la enfermedad neoplásica.
5. Cualquier anomalía oftalmológica significativa conocida de la superficie ocular (no se recomienda el uso de lentes de contacto).
6. Cualquier otra enfermedad, alteración metabólica, hallazgo de la exploración física o de laboratorio clínico, que proporcione indicios razonables para sospechar una enfermedad o afección para la que esté contraindicado el uso de un fármaco experimental o paciente con riesgo alto de experimentar complicaciones relacionadas con el tratamiento.
7. Tratamiento previo con agentes terapéuticos dirigidos contra el receptor del factor de crecimiento epidérmico (EGFR).
8. Tratamiento con un agente farmacológico en investigación durante las 3 semanas previas a la inclusión en el estudio.
9. Tratamiento concomitante con otra terapia antineoplásica.
10. Evidencia de compresión de médula espinal o de metástasis en el sistema nervioso central en la actualidad. En caso de sospecha de metástasis cerebrales, es obligatorio realizar TAC/RM cerebral (en las 4 semanas previas a la inclusión).
11. Incapacidad para tomar la medicación oral o procedimientos quirúrgicos previos que afecten a la absorción o impliquen la necesidad de alimentación intravenosa o parenteral.
12. Historia de alergia a compuestos de composición química o biológica similares a la medicación en investigación o a cualquiera de sus componentes.

E.5 End points

E.5.1

Primary end point(s)

Porcentaje de pacientes sin evidencia de progresión de enfermedad a los 6 meses de tratamiento con erlotinib.

E.6 and E.7 Scope of the trial

E.6

Scope of the trial

E.6.1

Diagnosis

E.6.2

Prophylaxis

E.6.3

Therapy

E.6.4

Safety

Yes

E.6.5

Efficacy

Yes

E.6.6

Pharmacokinetic

E.6.7

Pharmacodynamic

E.6.8

Bioequivalence

E.6.9

Dose response

E.6.10

Pharmacogenetic

Information not present in EudraCT

E.6.11

Pharmacogenomic

E.6.12

Pharmacoeconomic

E.6.13

Others

E.7

Trial type and phase

E.7.1

Human pharmacology (Phase I)

E.7.1.1

First administration to humans

E.7.1.2

Bioequivalence study

E.7.1.3

Other

E.7.1.3.1

Other trial type description

E.7.2

Therapeutic exploratory (Phase II)

Yes

E.7.3

Therapeutic confirmatory (Phase III)

E.7.4

Therapeutic use (Phase IV)

E.8 Design of the trial

E.8.1

Controlled

E.8.1.1

Randomised

E.8.1.2

Open

Information not present in EudraCT

E.8.1.3

Single blind

Information not present in EudraCT

E.8.1.4

Double blind

Information not present in EudraCT

E.8.1.5

Parallel group

Information not present in EudraCT

E.8.1.6

Cross over

Information not present in EudraCT

E.8.1.7

Other

Information not present in EudraCT

E.8.2

Comparator of controlled trial

E.8.2.1

Other medicinal product(s)

Information not present in EudraCT

E.8.2.2

Placebo

Information not present in EudraCT

E.8.2.3

Other

Information not present in EudraCT

E.8.3

The trial involves single site in the Member State concerned

E.8.4

The trial involves multiple sites in the Member State concerned

Yes

E.8.5

The trial involves multiple Member States

E.8.6 Trial involving sites outside the EEA

E.8.6.1

Trial being conducted both within and outside the EEA

E.8.6.2

Trial being conducted completely outside of the EEA

Information not present in EudraCT

E.8.7

Trial has a data monitoring committee

Information not present in EudraCT

E.8.8

Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial

Fallecimiento de todos los pacientes incluidos en el estudio.
Uno de los objetivos secundarios del ensayo es medir la supervivencia global.

E.8.9 Initial estimate of the duration of the trial

E.8.9.1

In the Member State concerned years

E.8.9.1

In the Member State concerned months

E.8.9.1

In the Member State concerned days

F. Population of Trial Subjects

F.1 Age Range

F.1.1

Trial has subjects under 18

F.1.1.1

In Utero

Information not present in EudraCT

F.1.1.2

Preterm newborn infants (up to gestational age < 37 weeks)

Information not present in EudraCT

F.1.1.3

Newborns (0-27 days)

Information not present in EudraCT

F.1.1.4

Infants and toddlers (28 days-23 months)

Information not present in EudraCT

F.1.1.5

Children (2-11years)

Information not present in EudraCT

F.1.1.6

Adolescents (12-17 years)

Information not present in EudraCT

F.1.2

Adults (18-64 years)

Yes

F.1.3

Elderly (>=65 years)

Yes

F.2 Gender

F.2.1

Female

Yes

F.2.2

Male

Yes

F.3 Group of trial subjects

F.3.1

Healthy volunteers

F.3.2

Patients

Yes

F.3.3

Specific vulnerable populations

Information not present in EudraCT

F.3.3.1

Women of childbearing potential not using contraception

F.3.3.2

Women of child-bearing potential using contraception

Information not present in EudraCT

F.3.3.3

Pregnant women

F.3.3.4

Nursing women

F.3.3.5

Emergency situation

F.3.3.6

Subjects incapable of giving consent personally

F.3.3.7

Others

Information not present in EudraCT

F.4 Planned number of subjects to be included

F.4.1

In the member state

F.4.2

For a multinational trial

F.4.2.1

In the EEA

F.4.2.2

In the whole clinical trial

F.5

Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)

No hay previsto ningún tratamiento distinto al habitual para la patología.

G. Investigator Networks to be involved in the Trial

N. Review by the Competent Authority or Ethics Committee in the country concerned

Competent Authority Decision

Authorised

Date of Competent Authority Decision

2006-01-24

Ethics Committee Opinion of the trial application

Favourable

Ethics Committee Opinion: Reason(s) for unfavourable opinion

Date of Ethics Committee Opinion

2005-12-09

P. End of Trial
P.	End of Trial Status	Ongoing

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